• J. Gastrointest. Surg. · Aug 2014

    Historical Article

    The subspecialization of surgery: a paradigm shift.

    • Stephen D Bruns, Brian R Davis, Aram N Demirjian, Sabha Ganai, Michael G House, Reza F Saidi, Bhavin C Shah, Sanda A Tan, Kenric M Murayama, and Society for Surgery of Alimentary Tract Resident Education Committee.
    • University of Oklahoma-Tulsa, Tulsa, OK, USA.
    • J. Gastrointest. Surg. 2014 Aug 1;18(8):1523-31.

    AbstractGeneral surgery has become increasingly fragmented into subspecialties and diseases previously treated by general surgeons are now managed by "specialists". The Resident Education Committee of the Society for Surgery of the Alimentary Tract (SSAT) has reviewed the history of surgical training and factors that have contributed to this evolution to subsepcialization. As it is unlikely that this paradigm shift is reversible, a clear understanding of the contributing factors is essential. Herein, we present a timeline and taxonomy of forces in this evolution to subspecialization.

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